System Pharmacy Billing & Compliance Analyst

UVM Medical Center•Mountain View, VT

3d•Hybrid

About The Position

The System Pharmacy Billing & Compliance Analyst supports pharmacy billing, charge capture, revenue integrity, and medication compliance activities across inpatient and outpatient settings. The role performs audits and data reviews to ensure accurate medication charging, appropriate documentation, inventory controls, and adherence to organizational and regulatory requirements, including DEA and The Joint Commission standards. Key responsibilities include identifying and resolving missing or inaccurate medication charges, reconciling dispensed and administered medications, supporting Pharmacy-owned billing and charge-capture workflows, monitoring high-cost medication utilization, and auditing medication storage and handling practices. The Analyst also maintains compliance documentation, prepares operational reports, identifies trends and opportunities for improvement, and supports corrective actions when needed. Working collaboratively with Pharmacy leadership, clinical departments, EPIC Willow, and other operational partners, the Analyst serves as a resource for medication-related billing and compliance inquiries and helps ensure the accuracy, integrity, and compliance of Pharmacy billing and medication-use processes across the organization.

Requirements

Associate degree or an equivalent combination of education and experience required.
Minimum of 2 years of relevant experience in pharmacy operations, healthcare billing, charge capture, auditing, compliance, revenue integrity, or a related healthcare setting required.
Experience working with medication documentation, inventory, billing, or regulatory compliance processes required.
Pharmacy Technician registration in the State of Vermont is required.

Nice To Haves

Coursework in auditing, billing, compliance, pharmacy, or accounting preferred.
Demonstrated experience reviewing data, identifying discrepancies, and resolving operational or billing issues preferred.

Responsibilities

Performs audits and data reviews to ensure accurate medication charging, appropriate documentation, inventory controls, and adherence to organizational and regulatory requirements, including DEA and The Joint Commission standards.
Identifies and resolves missing or inaccurate medication charges.
Reconciles dispensed and administered medications.
Supports Pharmacy-owned billing and charge-capture workflows.
Monitors high-cost medication utilization.
Audits medication storage and handling practices.
Maintains compliance documentation.
Prepares operational reports.
Identifies trends and opportunities for improvement.
Supports corrective actions when needed.
Serves as a resource for medication-related billing and compliance inquiries.
Helps ensure the accuracy, integrity, and compliance of Pharmacy billing and medication-use processes across the organization.